요양병원 간호사의 도덕적 고뇌 한국형 도구의 타당도와 신뢰도 분석

초록

Purpose: In this study the validity and reliability of the Korean version of the measure of moral distress(MMD-K) for nurses in long-term care hospital was investigated. Methods: Tool translation was carried out through the original tool translation and reverse translation process according to the proposal of the World Health Organization. Data were collected from 7 nursing hospitals located in D, G, and B from 200 nurses with at least 6 months of current institutional experience. In this study the validity, and reliability were verified using SPSS 21.0 and AMOS 23.0. Results: The exploratory factor analysis consisted of four factors: clinical causes at the patient level clinical level, medical system, team interaction, and personal vulnerability of the four factors in the confirmatory factor analysis. The Korean version of the measure of moral distress was validated by confirmatory factor analysis(X2/df 2.70, CFI .901, TLI .896, IFI .881, GFI .883, SRMR .073, RMSEA .075). Furthermore, the reliability verification showed Cronbach's ⍺= .91, confirming that the Korean version of the tool in this study was very reliable. The content validity index through the expert group was .92, the convergent validity was 0.71-0.86, which exceeded 0.7, and the discriminant validity was 0.63-0.84, confirming that validity was secured with a result of 0.5 or more. Conclusion: This study showed that the Korean version of the measure of moral distress (MMD-K) is a valid and reliable instrument to assess nurses in Korea long-term care hospital.

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